医务人员职业暴露现状调查与防护措施

目的了解医务人员职业暴露现状,制定有效防范措施。方法用回顾性调查方法,对2010年本医院在职医务人员职业暴露暴露情况进行了调查。结果 2010年该医院在职医务人员共1 502名,共发生职业暴露19例,发生率为1.3%。职业暴露以护士为主,占84.2%。暴露接触来源主要为来自乙型肝炎的病人血液,暴露原因主要是锐器伤和黏膜暴露。结论职业暴露发生人群主要为护士,急诊科最多,暴露源主要为乙型肝炎病人,多数发生在治疗操作结束后,加强医护人员的岗前培训,提高职业暴露防范意识,采取防范措施。     

医务人员职业暴露与防护措施

目的了解医务人员职业暴露情况,探讨防护措施。方法通过问卷调查和现场查看的方式,对某县医院100名医务人员职业暴露情况进行了调查。结果被调查的医务人员有70%发生过职业暴露,锐器伤占86.32%。结论该医院医务人员职业暴露发生率较高,应严格规范操作行为,加强自我保护意识。     

医务人员职业暴露与防护

随着社会的发展、科技的进步以及人们自我保护意识的提高,医务人员的职业安全问题越来越受到重视.南于医院的特殊环境,致使医务人员经常暴露于各种生物、物理、化学以及与工作性质有关的各种危险因素之中,因此做好自身防护对保持身心健康具有重要意义,医护人员的职业暴露危险因素具有复杂性、经常性、多变性和不确定性的特点.     

医务人员职业暴露与防护

随着社会的发展、科技的进步以及人们自我保护意识的提高，医务人员的职业安全问题越来越受到重视。由于医院的特殊环境，致使医务人员经常暴露于各种生物、物理、化学以及与工作性质有关的各种危险因素之中，因此做好自身防护对保持身心健康具有重要意义，医护人员的职业暴露危险因素具有复杂性、经常性、多变性和不确定性的特点。     

医务人员职业暴露现状与防护对策研究

摘要 目的 了解医务人员职业暴露现状,研究防护对策。方法 通过现场调查和资料分析的方法,对某医院临床医务人员职业暴露情况和防护情况进行调查与分析,建立防护措施。结果 该医院所发生的80例次职业暴露的医务人员中,护士占65.00%,初级职称医务人员占78.75%。职业暴露事故中,针刺伤占83.75%,职业暴露发生后98.75%暴露者进行了立即处置。主要处置措施是局部挤血后用流水冲洗并消毒,接受预防性药物治疗者占66.25%。结论 医务人员职业暴露主要发生于护士和低年资医务人员,加强重点人群职业防护培训和及时进行处置是主要防护措施。     

基层医务人员艾滋病职业暴露防护现状调查与对策分析

对我院的228名医务人员进行"医务人员艾滋病职业暴露的认知及防护现状调查"的问卷调查,对调查的结果进行整理、分析。结果医务人员对艾滋病的三条基本传播途径知晓率较高,而对几种不常见和非传播途径的知晓率较低;广大医务人员对艾滋病职业暴露概念、预防及暴露后处理相关知识知晓率比较低;医务人员在诊断治疗活动中的防护行为不理想。基层医务人员艾滋病职业暴露防护现状较差,应该加强基础知识学习,提高防护意识,在工作中积极正确的做好防护。     

妇产科医务人员职业暴露调查与防护对策

目的了解医院妇产科医务人员职业暴露情况,加强防护措施。方法通过回顾性调查方法,对某医院妇产科医务人员职业暴露情况进行了调查。结果该妇产科在连续3年共发生医务人员职业暴露23例,手部暴露占69.57%,主要发生在产房和手术室。暴露源主要是血液、羊水喷溅,还有针刺伤和刀割伤以及处理医疗废物时的锐器伤等。结论妇产科医务人员存在职业暴露感染的风险,应加强个人职业暴露防护。     

某传染病医院医务人员职业暴露调查

目的了解某传染病医院医务人员职业暴露情况及其危险因素,探讨防护措施。方法采用回顾性调查方法,对某传染病医院2009-2011年医务人员发生职业暴露情况进行调查。结果调查期间该传染病医院的医务人员中共职业暴露50例,其中护士占86%,主要是针刺伤,构成比高达90%。职业暴露血源性疾病病原体以乙型肝炎(HBV)患者为主,占64%;艾滋病病毒感染者占6%,其余为其他血源性疾病因子。结论传染病医院护士是职业暴露的高危人群,针刺伤是造成职业暴露的最主要的因素,HBV为最重要的感染因子,应重点加强职业安全防护措施。     

医务人员职业暴露现状和安全防护管理

在预防医务人员职业暴露事件过程中,加强安全防护管理,健全规章制度,实施职业暴露安全防护知识培训,添置必需的防护用品,强调洗手重要性和戴手套后规范操作的活动范围,严格各项技术操作,对医疗废物进行分类管理,建立职业暴露登记本与医务人员健康档案,采取职业暴露后的防范措施,加强监督管理检查。可最大限度减少职业暴露事件的发生,保障了医务人员的安全和身体健康。     

医务人员职业暴露案例分析与防护措施

目的 了解慈溪市人民医院职业暴露现状,提高医务人员的防护意识,维护医务人员职业安全.方法 收集自2009年1月至2010年12月61例医务人员职业暴露登记案例并进行回顾性分析及随访.结果 本次职业暴露调查中护士占73.77%,手术医生占16.39%.锐器伤是主要的暴露方式.结论 建立健全职业暴露管理体制,规范医务人员的操作行为、提高医务人员防护意识是减少职业暴露的关键.     

社区护士职业暴露安全防护现况调查与分析

目的调查社区护士职业暴露情况及安全防护行为。方法采用自行设计社区护士职业暴露防护现状调查问卷,对北京市海淀区4所社区卫生服务中心及下属卫生服务站的119名社区护士进行调查。结果仅有28.57%的社区护士对标准预防概念很清楚;社区护士职业暴露安全防护行为中得分最低的3项是:掰安瓿时加垫纱布、为患者进行采血操作时戴手套、工作中注射器针头回套;84.03%的社区护士曾发生过锐器伤,发生锐器伤后上报医院感染管理部门的只占18.49%。结论社区护理管理者应重视对社区护士职业暴露安全防护相关培训,加强对社区护士职业暴露安全防护行为的监督。     

ICU护士职业暴露现状及防护行为的相关因素分析

目的 调查ICU护士职业暴露及防护行为的发生情况,探讨ICU职业暴露的特点及防护行为的影响因素.方法 采用自行设计的一般资料调查表、ICU职业暴露发生情况调查问卷及防护行为调查问卷,收集沈阳市5所医院211名ICU护士的相关资料.结果:ICU护士职业暴露发生情况以人体工效学、心理社会和组织因素方面职业暴露得分最高;教育程度、工作岗位、职业暴露经历、培训经历、工作年限是护士防护行为的影响因素.结论:人体工效学、心理社会和组织因素方面是ICU护士最经常面临的职业暴露,管理者应采取有针对性的措施以减少职业暴露的发生.护理管理者应加强护士职业防护的培训及监督,合理安排工作岗位,为护士提供充足的防护物品,以确保ICU护士以良好的身心投入到护理工作中.     

Surveillance of HIV exposure and postexposure prophylaxis among health care workers in Greece

OBJECTIVE: Many developed countries have implemented surveillance systems for monitoring occupational exposure to HIV. The aim of the present study was to analyze surveillance data on HIV postexposure prophylaxis (PEP) for health care workers (HCWs) in Greece. DESIGN: All data reported to the Hellenic Centre for Disease Control and Prevention between January 1996 and June 2005 were analyzed. SAMPLE AND MEASUREMENT: 188 reported occupational exposures to HIV were analyzed, retrospectively. RESULTS: Most exposures were in the physicians (37.8%), followed by the nursing personnel (18.6%). Nearly 38% of the HCWs were males and the predominant type of biological material involved in the exposure was blood (74.5%). Two drugs were used for PEP in 23.4% of the HCWs, and 3 drugs in 66.5% of the reported cases. CONCLUSIONS: Greek guidelines provide guidance for treating HCWs after occupational exposure to HIV. In our study, antiretroviral treatment, a three-drug regimen in the majority of the cases, was prescribed after evaluation of specially appointed physicians. The surveillance system of occupational exposure to HIV in HCWs should be further developed and enhanced in order to monitor and evaluate the risk factors surrounding the incidents.     

医护职业形象的重要性

医疗护理工作的特殊性、服务对象的特殊性以及当今社会对医疗卫生服务要求的不断提高,要求医务工作者除应具备扎实的专业理论知识、熟练的操作技能、高尚的职业道德外,还应具有良好的职业形象,从而体现医生、护士的自信、能力、修养等优秀品质,以满足病人对医疗护理服务的多元化需求.良好的医护职业形象有利于患者的身心健康,有利于临床工作的开展.特别是直接服务于病人,和病人接触最多的临床医生和护士,注重自身职业形象的建设更具重要意义,现就对医护职业形象重要性的认识分析如下.     

临床护士职业暴露现状分析与防护对策

目的调查临床护士职业暴露发生现状,提出防护对策,减少职业暴露的发生。方法采用自设问卷,对192名护理人员进行调查,分析其发生职业暴露的情况。结果暴露高危人群为工作年限≤5年的护士,占83.47%;暴露的主要方式为锐器损伤,占85.95%;早晨治疗高峰期职业暴露发生率最高,占73.55%。结论加强职业安全防护培训,增强临床护士职业安全防护意识,规范医疗操作,减少职业暴露的发生。此外,暴露后应采取有效合理的干预措施降低被感染的危险。     

48例医务人员乙型肝炎病毒职业接触情况的调查与分析

目的 了解医务人员乙型肝炎病毒职业接触情况,提高医务人员乙型肝炎病毒职业防护水平.方法 依据某医院2007年1月至2010年4月血源性病原体职业接触登记表,对48例乙型肝炎病毒职业接触者进行回顾性调查.结果 经过6个月至3年的随访,48例乙型肝炎病毒职业接触者HBsAg为阴性.48例乙型肝炎病毒接触者护士42人,占87...     

Examining occupational health and safety vulnerability among Canadian workers with disabilities

Objective: To compare workers with and without disabilities on their reported workplace hazard exposure and the presence of occupational health and safety vulnerability factors.

Methods: Working-aged adults in Ontario or British Columbia were recruited to participate in a cross-sectional survey (n?=?1988). Self-reported measures included demographic factors, work-related variables, perceived level of activity limitation at work, and presence of work safety vulnerability factors utilizing a novel framework.

Results: Reporting a disability at work was significantly associated with greater hazard exposure than those without a disability. In addition, those reporting a disability at work were more likely to be employed in conditions where hazard exposure was combined with inadequate policies and procedures, or hazard exposures were combined with inadequate empowerment.

Conclusions: Work safety vulnerability is one way that health inequalities can be perpetuated even among those with disabilities who have found work. Our results suggest that employers and policy makers need to focus on assessing and addressing hazard exposures and targeting occupational health and safety resources in the workplace in a way that includes workers with disabilities.

• Implications for Rehabilitation

• Workers with disabilities experience greater hazard exposure than those without a disability.

• Those with moderate and severe disabilities reported occupational health and safety vulnerability, suggesting that workplace accommodations should be available to a broader range of disability levels.

• It appears that, above and beyond standard safety procedures, providing workplace accommodations for people with disabilities may further reduce their hazard exposure and improve their safety.

     

Potential allergy and irritation incidents among health care workers

This study describes the types, causes, and outcomes of potential irritation and allergy incidents among workers in British Columbia's health care industry. Data on occupation-induced allergy and irritation incidents were extracted from a standardized database using the number of productive hours obtained from payroll data as a denominator during a 1-year period from three British Columbia health regions.Younger workers, female workers, facility support service workers, laboratory assistants and technicians, and maintenance and acute care workers were found to be at higher risk for allergy and irritation incidents. Major causes of allergy and irritation incidents included chemicals, blood and body fluids, food and objects, communicable diseases, air quality, and latex. A larger proportion of chemically induced incidents resulted in first aid care only, whereas non-chemical incidents required more emergency room visits.